CB Well LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CB WELL LLC

Practice address

7 W Square Lake Rd Ste 111
Bloomfield Hills, MI 48302-0462

Phone

(248) 452-5640

Fax

(248) 452-5681

NPI assigned

Apr 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanne Ann Graves

Title

Admin

Phone

(248) 709-9640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Brynly Cubberly, L.M.S.W.

  • Clinical Social Worker
  • Bloomfield Hills, MI
  • NPI 1447809843
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724544000000",
    "number": "1104672369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 DORCHESTER RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095990",
            "telephone_number": "517-215-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W SQUARE LAKE RD STE 111",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020462",
            "telephone_number": "248-452-5640",
            "fax_number": "248-452-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-709-9640"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Casalou, MA, LPC
• Benjamin Case
• Chaz Kristopher Casey, PA
• Cassandra M. Klyman, M.D.,P.C.
• Jennifer Gray Castro, D.O
• Ceis PLLC
• Ceis PLLC
• Ceis PLLC
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• Center of Aesthetic and Reconstructive Surgery, PLLC

• Clinical Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.